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See a sample rate comparisonCPT 41113 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Xcision Of Lesion Of Tongue W/ Closur; Posteri One-Third, Excision Of Lesion Of Tongue With Closure; Posterior One-Third
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $368.08 national non-facility rate (2026) · View Medicare rates for 41113 |
| Medicaid Fee Schedule | $287.83 median of the 8 states in the free preview · View Medicaid rates for 41113 |
National average reimbursement for CPT 41113 by major payers:
$451.01
$474.45
$502.27
$452.22
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CPT 41113
5 of 25 sample ratesHigher to lower in this preview
Texas Endoscopy Centers, LLC, Texas Endoscopy At Independence Medical Village
$2,172.00Published rateInov8 Surgical At Memorial City, Inov8 Surgical
Inov8 Surgical At Memorial City
$1,230.00Published rateCorpus Christi Endoscopy Center LLP, Corpus Christi Endoscopy Center
Corpus Christi Endoscopy Center LLP
$819.50Published rateNephrology & Endocrine Associates Inc
$628.00Published rateEye Care Specialists Ps, The Laser And Surgery Center
Eyecare Specialist, Ps
$500.00Published rate
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See a sample payer proposalCPT 41113 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41113 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 41113 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 41110-CPT | Moderate | Exc Lesion Tongue Wo Closure |
| 41112-CPT | Moderate | Xcision Of Lesion Of Tongue W/ Closur; Anterio Two-Thirds, Excision Of Lesion Of Tongue With Closure; Anterior Two-Thirds |
| 41113-CPT | Moderate | Xcision Of Lesion Of Tongue W/ Closur; Posteri One-Third, Excision Of Lesion Of Tongue With Closure; Posterior One-Third |
| 41114-CPT | Moderate | Xcision Of Lesion Of Tongue W/ Closur; W/ Local Tongue Flap, Excision Of Lesion Of Tongue With Closure; With Local Tongue Flap |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41113. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41113 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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